Diabetes Care Coordinator – Remote

Are you looking for a purposeful career that will make a difference in the patient community? At CCS, our approach to at-home patient care is redefining chronic care management. We are seeking individuals that will thrive in a patient-centric dynamic environment. If you are an attentive listener, fast-thinker, and problem-solver, with the ability to relate to different people, you are a match for CCS.

As a Diabetes Care Coordinator, you will help support members in the LivingConnected program by guiding their diabetes management journey through telephonic and digital engagement. This role ensures successful onboarding, device use, and app adoption while driving improved outcomes via proactive outreach, data review, and collaboration with educators, pharmacists, and health plan partners. Responsibilities include identifying blood glucose trends, facilitating care escalations, and assisting with closing HEDIS and STARs quality gaps. The position also incorporates patient engagement activities such as troubleshooting, education, and motivation, with progression into clinical coordination within a care management platform.

Perform inbound and outbound outreach to onboard members into the LivingConnected program and provide ongoing engagement support.

• Educate members on proper use of medical devices (e.g., blood glucose monitors, CGMs, blood pressure monitors) and related mobile applications.

• Track and monitor engagement metrics, including device usage, app adoption, and adherence to testing or monitoring routines.

• Analyze blood glucose trends to identify at-risk members and escalate care to educators, pharmacists, or health plan partners as needed.

• Screen members for referral to CDCES, care management teams, nurse case managers, or other clinical programs based on clinical data or self-reported challenges.

• Support educators with follow-up and documentation in the care management platform, including patient assessments and progress updates.

• Assist in closing HEDIS and STARs quality gaps through timely outreach and education.

• Troubleshoot technical and supply-related issues to maintain member engagement.

• Accurately document all interactions, assessments, and outcomes within CCS systems.

• Maintain confidentiality and ensure compliance with HIPAA, Medicare, Medicaid, and private insurance regulations.

• Contribute to continuous process improvement and collaborate across LivingConnected operations and clinical teams.

• Maintains a high degree of confidentiality at all times due to access to sensitive information

• Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department

• Follows all Medicare, Medicaid, HIPAA, and Private Insurance regulations and requirements

• Abides by all regulations, policies, procedures and standards

• Achieves or exceeds engagement, utilization, and quality targets (e.g., device adherence, app activation, coaching participation).

• Demonstrates high first-call resolution and patient satisfaction.

• Supports measurable improvements in HEDIS/STARs metrics for assigned member populations.

• Maintains accurate documentation and timely follow-through on all assigned tasks.

• Acts as a reliable liaison between Engagement Specialists, Educators, and Pharmacists.

• Exercises appropriate cost control measures

• Maintains positive internal and external customer service relationships

• Maintains open lines of communication

• Plans and organizes work effectively and ensures its completion

• Meets all productivity requirements

• Demonstrates team behavior and promotes a team-oriented environment

• Actively participates in Continuous Quality Improvement

• Represents the organization professionally at all times

• High School diploma or GED

• 1-3 years of of customer service and/or support experience in a healthcare setting preferred.

• Experience providing direct patient support, coordination of care within a healthcare, wellness, or chronic condition management setting.

• Certification or licensure appropriate to role (e.g., CNA, LPN, EMT, RMA, CHW, or equivalent), and ability to maintain active status through continuing education to meet minimum eligibility requirements for ADCES Diabetes Care Coordinator Certificate program.

• Must complete the Care Coordinator certificate within the first 90 days of employment.

• Knowledge of diabetes care, glucose monitoring, or connected medical devices preferred.

• Strong ability to troubleshoot, problem-solve, and use clinical judgment in coordination with educators and pharmacists.

• Comfortable using digital health tools, care management platforms, and patient engagement technology.

• Strong communication and organizational skills with a passion for helping individuals manage chronic conditions such as diabetes.

• Ability to work independently, adapt to changing priorities, and collaborate within a remote team environment.

• Flexibility to work evening and weekend hours as needed to support patient outreach.

• Must be honest, fair, ethical, dependable, respect confidentiality and the rights and privacy of others and local, state and federal laws.

• Must practice and promote Policies and Procedures, Mission Statement, Values and Goals.

• Ability to deal with problems involving several concrete variables in standardized situations

Our Values

Certainty-The lives of the individuals we serve depend on our ability to execute. We commit to doing this every day.

• Use appropriate methods and a flexible interpersonal style to help build a cohesive and collaborative team based on a foundation of trust and transparency. Deliver what you commit to.

Compassion-We understand the burdens of patients and their loved ones and channel this into a relentless pursuit of customer satisfaction in every part of our business.

• Ensure that the patient is the driving force behind business decisions, implementing service practices that meet needs of both the patient and the organization. Treat other the way you want to be treated.

Advancement-We are endlessly looking for ways to progress and become more innovative in all things we do.

• Encourage innovative approaches for addressing opportunities and facilitating change, driving cross-functional alignment to accomplish goals. Speak the truth.

CCS is an EEO/AA Employer. M/F/D/V

CCS is the strategic partner addressing America’s most pressing healthcare challenges through intelligent chronic care management, tackling the $412 billion annual diabetes burden and chronic conditions affecting over 133 million Americans. At the core of CCS’s differentiated model is LivingConnected, a human-led, digitally-enabled clinical solution. PropheSee-an AI-powered predictive model that identifies non-adherence risk and delivers personalized interventions- is an integral part of this solution, creating a first-of-its-kind platform to improve adherence, enhance clinical outcomes, and help prevent costly hospitalizations. By combining data-driven insights with three decades of industry relationships, CCS is the smart choice for health plans, providers, employers, and manufacturers who believe that value-based care starts by keeping patients healthy and delivers benefits like lower cost of care, improved HEDIS scores, and alleviating provider burnout. CCS’s approach extends clinical reach while supporting over 200,000 people nationwide with home-delivered medical supplies and pharmaceuticals annually. Recognized as a Great Place to Work, and with numerous peer-reviewed publications validating our care management approach, CCS is more than a trusted supplier-we’re a partner in transforming chronic care delivery. To learn more about how CCS is addressing today’s healthcare challenges, visit ccsmed.com or connect with us on LinkedIn.

• Competitive Salary
• Bonus/Incentive Opportunities/commission: (if applicable)
• Comprehensive Benefits:
• Medical, dental, and vision insurance
• 401(k) with company match
• Paid time off (vacation and holidays)
• Growth & Development:
• Ongoing training and professional development
• Work-Life Balance:
• Remote or hybrid work options (if applicable)
• Wellness programs and mental health support